MARY M GOUGH

PLACERVILLE, CA
NPI1528205994
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  93472)
Additional Taxonomies1041C0700X Social Worker, Clinical
101YM0800X Counselor, Mental Health
Enumeration Date2009-01-07
Last Update Date2023-07-07
Business Address
MARY M GOUGH LCSW
929 SPRING ST
PLACERVILLE, CA 95667-4543
Phone number: 530-621-6303
Mailing Address
MARY M GOUGH LCSW
929 SPRING ST
PLACERVILLE, CA 95667-4543
Phone number: 530-621-6303